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一种将顺行股动脉入路转换为逆行导管入路的简化技术。

A simplified technique for converting antegrade femoral access to retrograde access for catheterization.

机构信息

Division of Cardiovascular Medicine, University of Toledo, Toledo, USA.

Department of Internal Medicine, University of Toledo, Toledo, USA.

出版信息

Vascular. 2021 Feb;29(1):143-145. doi: 10.1177/1708538120939730. Epub 2020 Jul 6.

DOI:10.1177/1708538120939730
PMID:32631133
Abstract

OBJECTIVES

Femoral access conversion is sometimes required in clinical practice. Various techniques have been reported to convert a retrograde femoral access to antegrade access with a high success rate. However, despite paucity of data, converting an antegrade access to retrograde access is quite challenging with a potentially higher risk of technical failure or loss of access.

METHODS

Here, we report a simple technique of antegrade to retrograde access conversion utilizing a pigtail catheter and an angled Glidewire.

RESULTS

Successful conversion was achieved with no immediate complications with the proposed technique.

CONCLUSIONS

Techniques that describe antegrade to retrograde access conversion are seldomly reported in the medical literature. Our technique was successful in making the conversion utilizing only pigtail catheter and angled Glidewire.

摘要

目的

在临床实践中,有时需要进行股动脉入路转换。已经报道了各种技术,这些技术可以将逆行股动脉入路转换为顺行股动脉入路,成功率很高。然而,尽管数据有限,但将顺行入路转换为逆行入路具有相当大的技术失败或入路丢失风险,这是相当具有挑战性的。

方法

在这里,我们报告了一种利用猪尾导管和角度型 Glidewire 进行顺行到逆行入路转换的简单技术。

结果

使用提出的技术成功地进行了转换,没有立即出现并发症。

结论

在医学文献中很少有描述顺行到逆行入路转换的技术。我们的技术仅使用猪尾导管和角度型 Glidewire 成功地进行了转换。

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1
A simplified technique for converting antegrade femoral access to retrograde access for catheterization.一种将顺行股动脉入路转换为逆行导管入路的简化技术。
Vascular. 2021 Feb;29(1):143-145. doi: 10.1177/1708538120939730. Epub 2020 Jul 6.
2
A new simple method of converting a retrograde femoral access to an antegrade catheterization.一种将逆行股动脉入路转换为顺行导管插入术的新的简易方法。
J Vasc Surg. 2014 Sep;60(3):792-5. doi: 10.1016/j.jvs.2014.03.287. Epub 2014 May 3.
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An improved reversal technique from retrograde to antegrade femoral artery cannulation.一种从逆行转为顺行股动脉插管的改良技术。
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Percutaneous vascular closure using an anchored collagen plug provides effective haemostasis following both antegrade and retrograde femoral arterial punctures.经皮血管闭合使用锚定胶原塞可在前向和后向股动脉穿刺后有效止血。
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Efficacy and safety of antegrade common femoral artery access closure using the Angio-Seal device: experience with 1889 interventions for critical limb ischemia in diabetic patients.经皮顺行股总动脉入路使用 Angio-Seal 装置闭合的疗效和安全性:在 1889 例糖尿病患者严重肢体缺血介入治疗中的应用经验。
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